The Internalizing Paradox – Youth Anxiety and Depression Symptoms

Association for Child and Adolescent Mental Health (ACAMH)

DOI: 10.13056/acamh.28495
In this Papers Podcast, Dr. John Weisz discusses his JCPP paper ‘Research Review: The internalizing paradox – youth anxiety and depression symptoms, psychotherapy outcomes, and implications for research and practice’ (https://doi.org/10.1111/jcpp.13820).
There is an overview of the paper, methodology, key findings, and implications for practice.
Discussion points include:

• An explanation of what the internalizing paradox is.
• The five different possible explanations for the internalizing paradox.
  • The differential comorbidities between anxiety disorders and depressive disorders.
  • Insight into ‘variegated nature of polythetic conditions’.
  • A definition of differential progress in the search for mechanisms of change.
  • How differential complexity of evidence-based psychotherapy protocols relate to the internalizing paradox.
  • The clinician’s challenge.
• How the different perspectives suggest different treatment strategies and insight into these strategies.
• The limitations of current research and the possible avenues for future work.
• Implications for clinicians and how this research impacts interventions.
• Messages for parents and carers and the importance of parents/carers partnering with clinicians with regards to interventions.

In this series, we speak to authors of papers published in one of ACAMH’s three journals. These are The Journal of Child Psychology and Psychiatry (JCPP); The Child and Adolescent Mental Health (CAMH) journal; and JCPP Advances.
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